31B-044 (11) BP-2023-1381
21 SUMMER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31B-044-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-1381 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 1000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date:07/30/2024
Use Group: Owner: WALSH WALSH ROBERT E JR &MARY ELLEN
Lot Size (sq.ft.)
Zoning: URC Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 10/05/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/W E ATH ERI ZATI ON
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
4 • )2 - TAIT
Fees Paid: S65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEE: $65.00 ,rJUu...T I qlX� Please email Permit to WXPermitting@homeworksenergy.com
Dep
o: ar-.4,4.-..,... City of Northampton
��yy# Buildin De
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212 ain r El
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a INSULATION
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Rom 00
.INortha ton M/ R}060phone 413-587-h 2401 Fax 4`13-587 2
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APPLICATION FOR INSULATIO cm-n,Fll REII� l�14H" A\MlL 'D LLING ONLY
SECTION 1 -SITE INFORMATION INS IJ LA-T`ION PERMIT
1.1 Property Address: This section to be completed by office
Map Lot Unit
21 Summer Street Northampton MA 01060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Mary Ellen Walsh 21 Summer Street Northampton MA 01060
Name(Print) Current Mailing Address:
See Attached (413)537-3216
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) (--N y cr � /� Current Mailing Address.
781-205-4484
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 1 ,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee 41 6
4. Mechanical (HVAC) 1�f'(/�,
5. Fire Protection
6. Total = (1 +2+3+4+ 5) 1,000 Check Number 00 7
This Section For Official Use Only
Building Permit Number: ✓ 013 -- 13 �J Date
Issued:
ya7
Signature: M- li-7-643
Building Commissioner/Inspector of Buildings Date
wxpermitting @ homeworksenergy.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 4-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable D
Name of License Holder:Adam Glenn 106148
License Number
235 Essex Street, Whitman, MA 02382 07/30/2024
Addre Expiration Date
(/b
781-205-4484
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable D
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2025
Address Expiration Date
j;rlaV Cj Telephone�81-205-4484
f
SECTION 5-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes n No D
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 810324
Adam Glenn , as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Adam Glenn
Print Name
j;"(1(J-
9/27/2023
Signature of Owner/Agent Date
Mary Ellen Walsh as Owner of the subject
property
hereby authorize HomeWorks Energy
to act on my behalf, in all matters relative to work authorized by this building permit application.
See Attached 9/27/2023
Signature of Owner Date
"AM_r
City of Northampton
,��0,� i _ o' S,s _.t''`
,'' Massachusetts ';.
c
i 4 . DEPARTMENT OF BUILDING INSPECTIONS r
, � W 212 Main Street • Municipal Building -i
Northampton, MA 01060 ssN 3r>>'‘�
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered
Type of Work:Weatherization Est. Cost: 1 ,000
Address ofwork:21 Summer Street Northampton MA 01060
Date of Permit Application: 9/27/2023
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law(explain):
Job under$1,000.00
Owner obtaining own permit(explain):
Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
1 hereby apply for a building permit as the agent of the owner:
9/27/2023 Adam Glenn 181138
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
CZir: s "" s
• : Massachusetts �°� •!<<
t
: DEPARTMENT OF BUILDING INSPECTIONS y[
rIOW i 212 Main Street 'Municipal Building Jos
Northampton, MA 01060 S'!
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
21 Summer Street Northampton MA 01060
(Please print house number and street name)
Is to be disposed of at:
McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
ritaA , :.30:a-d•
_9/27/2023
Signature of Permit Applicant or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
� � '°\ City of Northampton
s Y e. Massachusetts
,, ", DEPARTMENT OF BUILDING INSPECTIONS f.
i- dsv , 212 Main Street • Municipal Buildingtis
..:A % Northampton, MA 01060 S''W rD\
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 21 Summer Street Northampton MA 01060
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
m Property Owner
Name: Mary Ellen Walsh
Address: 21 Summer Street Northampton MA 01060
City, State:
Adam Glenn (contractor) attest and affirm that the building I intend to
insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have
provided the property owner with a copy of this affidavit.
Contractor signature Calk\ c.. 0, 'ad
Date 9/27/2023
L.X. The Commonwealth of Massachusetts
Department of Industrial Accidents
` —.7..Am—' Office of Investigations
`'•l'IIMI• Lafayette City Center
": 2 Avenue de Lafayette, Boston, MA 02111-1750
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): HomeWorks Energy
Address: 235 Essex Street
City/State/Zip:Whitman,MA 02382 Phone #: 781-205-4484
Are you an employer? Check the appropriate box: Type of project(required):
I.Q I am a employer with 500+ 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.♦
9. El Building addition
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no Weatherization
employees. [No workers' 13.0 Other
comp. insurance required.]
*My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Federated Mutual Insurance Company
Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 21 Summer Street Northampton MA 01060 City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify undd r the pains and pe es of perjuly that the information provided above is true and correct.
Signature: l'"-(' Date: 9/27/2023
Phone#: 781-205-4484
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority(check one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing
Inspector 6. Other
Contact Person: Phone#:
�1
AFRO® CERTIFICATE OF LIABILITY INSURANCE DATE12/301D/VYYY)
12fd02022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS
CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR
PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
PHONE HOME OFFICE:P.O.BOX 328 (A/C,No,Eel):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERISI AFFORDING COVERAGE NAIC S
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419-899-0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG
MEDFORD,MA 02155-5134 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS
AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR,yrio IMMIDD/YYYY) (MMIDD,YYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED 5100,000
PREMISES!Ea occurrence)_
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL8 ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
�POUCY jee LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO IEe accident)
BODILY INJURY(Per person)
—
SC
AOWNED AUTOS ONLY AUTESULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
(Per accident)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
^—DED RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY y/N ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500,000
A OFFICER/MEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S500 000
If yes,describe under E.L DISEASE-POLICY LIMIT S500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached,t more space is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
6 1
0 198B-2015 ACORD CORPORATION.AN rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Division of Occupational Lice sure Construction Supervisor Specialty
Restricted to.
Board of Building Regulations. and Standards CSSL4C -i nsutation Contactor
Constructs upet441.5kr Specialty
rt
CSSL-106148 * EStpires: 07/30/2024
d.
ADAM GLEN�V r ?..e
19 CHARGE 00 - -""
WAREHAM MA i i
ma `s -, 4 Failure topossess a current edition of tie Massachusetts
i ,� State Ruiid rj Code is cause for revocation of this I,cense.
For information about this license
Call{617) 727-3200or visit www rim ss.govidp
Commissioner ter f. b r►a:.=at-
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
'i `- ,
to — 7, "
rq
- . • Type: Corporation
= I Registration: 181138
HOME WORKS ENERGY, INC. Expiration: 03/02/2025
101 STATION LANDING STE 110 -r--r --_
MEDFORD, MA 02155 iiik
7 ...
♦
L"� .. ai.s .
Ili Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE:Corporation Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
181138 as 03/02/2025 Boston, MA 02118
HOME WORKS ENERGY, INC:
-
ADAM GLENN Calla'A _(101 STATION LANDING STE 110 7`/:� .,„..,„,a ,,4. -�':
MEDFORD, MA 02155
Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Daniel Mcintire Company: HomeWorks Energy
Email: daniel.mcintire@homeworksenergy.coi Address: 101 Station Landing
Cell: 413.636.5552 Medford, Ma 02155
Phone: 781.305.3319
Customer: Mary Ellen Walsh Address: 21 Summer Street
Email: mewalsh21@gmail.com Northampton, MA, 01060
Site ID: 810324 Phone: 4135373216
I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner
to act on my behalf in obtaining any building permit that maybe required to perform
insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit
if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed
Weatherization work is completed.
In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to
have a final inspection of the work scheduled and performed by the building inspector in your town. If required by the
town, you will be notified by Home Works Energy that an inspection is necessary with instructions on how to complete
this process to close out your permit.
Email: mewalsh21@gmail.com
Customer
Signature: Date: 9/20/2023
Mary Ellen Walsh
For Condo Owners:
If you have property oversight by a condo associationt, please have the association's authorized person(s) complete
and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
We, being the duly authorized representatives of the association
Name of association or management companyt
or management company have reveiwed the plans and specifications for improvements to the address specified above
We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry
out the proposed work.
Signature of representative Date
Print Name
t Other unit owners may sign when there is no association.
t A * ) ,,
ti to r/ ,c. 74e; `, PLAN VIEW
2 Name: ji Site ID: r"s Finished Sq. Ft: 1 3 "
3
g Phone: Year of House: Electric Acct #:
17) Address: # of Floors: Gas Acct #:
unit#: # Occupants: Housing Type? eo for 1
DUCTWORK INSPECTION Ducts insulated?O
Duct Linear Ft. ► itb
Duct Square Ft. 0`t , C5Duct Air Sealing Hours t,«
Duct Insulation �,�7
Duct Insulation Removal 140
Ir ' '4 i f: ?;;
z BASEMENT INSPECTIONr t
Existing Spec'ing Ln/Sq. Ft.
m Bsmt Wall AG ,
Crawl Ceiling 5) Ck ?Oki (00
Crawl Rim Joist " $ t =#a y
'14'd
Bsmt RJ w/Sill It/S
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door - /ram; 'i `
Y/N Blower Door? WALLS &GARAGE Drill Location?
Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 x x Balloon/Platform
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling
x x
cc
0
5.5. ( .t f
k «
-�1 ;;, ?.� ! '^: Insulatioryl`2emoval
Sqft.
livtorive..X'
Sweeps:
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY)
Attic Basement/Crawlspace Other: 1<&T Y/N Moisture Y/N'Combustion Sfty Y/N
Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y/N
Ductwork Exterior Walls Vermiculite Y/N 5tructl Concerns Y/N :Other:
Notes for Lead Vendor/Work Not Contracted: J
4/5 5(11)-I- 4 C-IR itieipttil-',
fc 1 t t ri c,s
KW WALL AND KW FLOOR Blind Spec? El OR •--- ► KW SLOPE AND GABLE END Blind Spec? 0
Y' Why?
FRAMING EXISTING SPEC'ING SQ..FT. FRAMING EXISTING SPEC'ING SQ.FT.
ALL X X SLOPE X X
FLOOR X x GABLE X X
CC
o •CCESS x \ TRANS X X
t` BANS X X ATTIC
ATTIC SLOPE X X y
V.
3 SLOPE x x EXISTING VENTING?
t" EXISTING VENTING?
EXISTING PIPES? Y/N rn
KWVen;tnr Vent BF BF Hose Damming Sheathing Access Temp Access AY:4'en;tng L.u,;BF Temp Access r
S
E
KNEEWALL MANDATORY
No 4itl o ?ice
Mc. U d.--`
0
•
3
a
cc
0
3
Y
ca
u
E
Insulated Vail X X Reed light o Ins.Hose BF BFVJ Vent BF Chim.n Damming 22"Roof V t At Handler AH Temp Access T1 PullDorrn Ea E i Wal Hatch -/ Door / 3"Roof Vent RV ® BAS
X X ATTIC 1 Blind Spec? ❑ x x 1t(,Vol:..
ATTIC 2 Blind Spec? 0 x(15.4(2,te9 2 Existing Spec'ing Sq ft ."
_ Existing Spec'ing Sq ft `13.6t 6r l
0
Unfloored Unfloored Multipliers
inn- Floored Trusses Cross Batting
Fl Mixed lnsulaticn DuctWG,FI
Cath Slope Cath Slope >600red LCase None' ,•
aWalls Walls Air Sediing hours
Access Access
e Venting Propavents Vent BF BF Hose Damming Venhng Propavents Vent BF BF Hose Damming
iv
to
'v c W H F Box, w
a m :2 Temp Access:. ef
tr. inSheathing Acces _
sc. : = (Exist.NFAvtnrnel= Needed Se, Ft/.c7= R.L Covers:
!Exist.NFA Vennnet= (Needed
Existing Venting? NFA Venhne) NF:,vennn Roof Type: !
Existing Venting? et yp �' / /!
(t l-,i
f7 t
HomeWorks Energy
(' pry (3 Home Performance Contractor
I 1 101 Station Landing,Medford, MA 02155
9 CONTRACT - AUDIT
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Robert Walsh (413) 537-3216 09/20/2023 810324 60001
SERVICE STREET BILLING STREET PROPOSED BY:
21 Summer Street 21 Summer St HomeWorks Energy
SERVICE CITY,STATE.ZIP RI IJNG CITY,STATE,ZIP
Northampton, MA 01060 Northampton,MA 01060 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 2 $213.18 $213.18
Seal areas of your home against wasteful, excessive air leakage.
Materials to be used to seal your home can include caulks,foams
and other products. Primary areas for sealing include air leakage to
attics, basements, attached garages and other unheated areas
(windows are not generally addressed.)
EXTERIOR DOOR WEATHER STRIPPING 2 $72.64 $72.64
Provide labor and materials to install Q-Ion weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 2 $59.32 $59.32
Provide labor and materials to install a doorsweep to restrict air
leakage.
6 MIL POLY VAPOR BARRIER 224 $264.32 $264.32
Provide labor and materials to install 10 ml polyethylene over open
ground in designated crawlspace/earthen basement areas.
HomeWorks Energy
(IC Home Performance Contractor
g f 1 f l 101 Station Landing,Medford,MA 02155
1-I eworks 781-305-3319
CONTRACT - AUDIT
Energy,Inc
CUSTOMER PHONE DATE CUENTA WORK ORDER
Robert Walsh (413) 537-3216 09/20/2023 810324 60001
SERVICE STREET BILLING STREET PROPOSED BY:
21 Summer Street 21 Summer St HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
INSTALL 2"THERMAL BARRIER POLYISO OPEN BASEMENT 60 $330.00 $247.50 $82.50
Provide labor and materials to install 2"rigid insulation board to the
open basement wall up to the sill and against the band joist.
Total: $939.46
Program Incentive: $856.96
Customer Total: $82.50
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Eighty-Two & 50/100 Dollars $82.50
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.